Graduated: 1981
NPI: 1043273246
Practice Locations (2)
PRAIRIE VIEW INC
1901 E 1ST ST
NEWTON, KS 671145010
3162846400
UNIVERSITY OF KANSAS SCHOOL OF MEDICINE WICHITA MEDICAL PRACTICE ASSOC
1010 N KANSAS ST
WICHITA, KS 672143124
Source: CMS National Downloadable File, September 2026.